Tirzepatide and Constipation: What Users Say (Page 3)
Brand names: Mounjaro, Zepbound
Reviews for Tirzepatide
- DWA...
- Taken for 1 to 6 months
- October 14, 2024
For Type 2 Diabetes "My doc insisted that I give this med a shot. My A1c was just over 7, but I am 59, 6’, and hit my heaviest weight in my life of 283.3 lbs on July 3, 2024. I started taking the 2.5 mg on July 12, 2024, and 3 months later, now at the 7.5 mg dose, I have lost 33 lbs! I do get acid reflux if I overeat (I still love food) and constipation if I don’t drink enough water, but otherwise, every Monday I give myself a shot - tired for a day and then back to normal. I had tried in the past to shed a few pounds, but nothing ever worked, so I had learned to live with it. This is some magic potion in the form of science that is giving me my life back. My goal is 225 lbs by the end of 2024 and 200 lbs in 2025. Biggest problem is my pants no longer fit!"
- chu...
- Taken for 1 to 6 months
- June 1, 2024
For Weight Loss (Obesity/Overweight) "5’ 8” and 272 was my starting stats. I did four weeks of 2.5 then went up to 5.0. I am only on my 6th week (4 2.5s and 2 5.0s) and I have already lost 30 pounds. Now, at 242, I am looking to take off another 30-50 pounds. I am trying to be put on a list to have a transplant and have to lose a certain amount of weight to make the list. I give the medication a 100% A+. If you need to drop weight, this is a great medication. Side effects: Constipation. Drink as much water as you can and be prepared to take laxatives to poo. I’m talking rock pebbles harder than pleasing a Gold-digger on a date, you’ll definitely have to take some laxatives to poo. I suggest flavoring your water. It helps. Candy: You will crave sugary candy like Gobstoppers, Sour Patch Kids, Skittles, pretty much anything you can get your hands on. Try dark chocolate almonds and just small nibbles of candy when you get really, really sleepy. Bottom line: It works! It's worth the hard rock poo."
Frequently asked questions
- Zepbound vs. Mounjaro: Comparison Guide for Weight Loss and Diabetes Treatment
- Why am I not losing weight on Mounjaro?
- Tirzepatide vs semaglutide: How do they compare?
- How much is Zepbound with or without insurance?
- Jus...
- Taken for 1 to 6 months
- January 15, 2023
For Type 2 Diabetes "I’ve been taking Mounjaro now for 4 months. I was prescribed it to treat my type 2 diabetes as well as for weight loss. Let me just say this drug has been a miracle! I started out at 268 lbs (5 ft 6 in male), I am now at 225 lbs! Over 40 pounds in 4 months! The only other weight loss program that helped me like this was the military! Now let me just say it’s not all Mounjaro, I’ve changed my eating habits and changed what foods I’m actually eating, and boom, working like a dream. My A1C has also dropped from 7.5% to 5.8%, this drug is an amazing stepping stone to a healthier life. The only side effects I’ve experienced since starting are loss of appetite and constipation, not too bad in my opinion!"
- Myk...
- Taken for 1 to 6 months
- December 20, 2024
For Weight Loss (Obesity/Overweight) "Have lost approximately 25 lbs in about 4.5 months. No major side effects. Occasional constipation, but I'm taking fiber supplement gummies, which help with regularity. Taking 7.5 mg dosage at present. Will increase to 10 mg next refill. I feel full for longer periods, which has helped control hunger bingeing. My goal would be to drop another 25-30 lbs. Still looking to start an exercise routine, which I can commit to, but life's demands interrupt my progress. I'm very grateful for this medicine."
- Ano...
- Taken for less than 1 month
- May 15, 2025
For Weight Loss (Obesity/Overweight) "First 2 weeks on low dose was okay. Minor GI disturbances. I normally have loose stools but had well-formed stools during those 2 weeks. Stayed on low dose for the 3rd week. Was a little constipated at first, so ordered a large salad from my favorite café. Maybe that's what triggers everything. That night I could not sleep because my gout became very painful, and I had to deal with the diarrhea. I am now feeling pretty drained and weak. Generally feel a tad light-headed."
- fat...
- Taken for 1 to 6 months
- June 16, 2024
For Weight Loss (Obesity/Overweight) "Just under 5 months. Down 36 pounds from size 16 to a 12/14. Almost 50. 5'9'. F. Started at 2.5, of course. Currently on 10mg. The biggest issue for me has been finding the medication in stock. It makes me not think of food until I'm hungry and then I eat a little something. I stay full a long time. I can only assume this is what normal people without food issues are like. I have lost upwards of 100 pounds with very hard work over a period of 2-4 years at two different times in my life. I need help this time around. Even when I was doing well with diet and exercise prior to this medication being available, all I did is think about how many calories I had eaten and how many I had left. I don't even count calories now. I have almost no interest in eating. The day before my injection is due, I am more hungry but still not eating more than 1800c. No real side effects aside from constipation in the beginning. It's amazing."
More FAQ
- Mounjaro side effects you need to be aware of
- Which GLP-1 drug is best for weight loss?
- How does Mounjaro Work for Weight Loss?
- Can you get tirzepatide from a compounding pharmacy?
- Wee...
- Taken for 1 to 6 months
- August 1, 2024
For Weight Loss (Obesity/Overweight) "Started on 2.5 for 4 weeks, lost 4.5 kg, forgot to eat, total loss of appetite, felt dizzy, probably because I wasn't drinking enough water. Week 5, went to 5 mg, lost just over 1 kg. Now in week 6, have been constipated, having to take laxative, will finish the 5 mg jab another 2 weeks and see how I feel. Amazing result in never hungry and, as a crisp lover, could never have another packet with all the salt, yuk! Usually have chicken fillets, chips, and bread and butter, just don't want bread at all, can only have two small chicken pieces, nothing else, and only because I know I have to eat something. Went to McDonald's with the grandkids, haven't told anyone I'm on this drug. Kids were happy as Nana couldn't finish her burger and chips. Have started craving fruit, which I never eat, will try and carry on and see if I can be sensible."
- peb...
- Taken for 1 to 6 months
- February 26, 2023
For Type 2 Diabetes "Started this 7 weeks ago and have one more injection. The first set was at 2.5 mg from the gynecologist. Within the first week, I lost 5 pounds and by week 5 I saw a huge difference! I went from a 22 waist to a true size 18 and still shrinking. I was having trouble catching my breath before I started this. I had a couple of pains in my stomach, similar to gas pains like clockwork, the day after the injection. But it was bearable. Sometimes I get a smelly burp issue. But now I have lost 20 pounds at week 7 and feel amazing. Please do yourself a favor and take fiber daily, this medicine will get you constipated."
- Jan...
- Taken for 1 to 6 months
- November 30, 2024
For Weight Loss (Obesity/Overweight) "Minimal weight loss in 5 weeks. Continual feeling of acidic stomach, some reflux. Constipation if not taking a stool softener. It has decreased my appetite. It also lets me know if I eat a food high in flour or sugar with severe acid reflux. Overall, I feel miserable while on it."
- Lis...
- Taken for 6 months to 1 year
- March 29, 2025
For Weight Loss (Obesity/Overweight) "Best method for weight loss and keeping the weight off. I've lost over 100 lbs and am finally comfortable in my skin again. When you change mg dosage, fatigue could be concerning, and it does happen. Working out helps, making sure you stay hydrated, and working out was the biggest help for me. I did have constipation, and it was managed. I did have hair thinning and started taking Nutrafol. I've struggled with my weight my entire life. Not anymore. I wish we could add photos, but we can't. Portion food sizes of what you can eat are minimized. The sugar cravings were gone. Not only did those cravings disappear, but so did the cravings for food that your body turns to sugar. For example, I haven't eaten a potato chip in over 7 months. No desire for breads, mayo, Miracle Whip, and numerous other things. I FEEL so much better. It is costly, but so is poor health and obesity. I wish big pharma would realize how many Americans struggle with obesity and cover this through insurance."
- mou...
- Taken for less than 1 month
- June 1, 2023
For Type 2 Diabetes "My husband suffered from severe nausea, mostly at night, but also from loss of appetite, constipation, and increased fatigue. He could not even get out of bed after one injection. He will not take a second dose."
- S-L...
- Taken for 1 to 6 months
- November 6, 2022
For Type 2 Diabetes "I tried to leave a review, but for some reason, it wasn't posted, so I will try again. My doctor took me off of Mounjaro recently. I developed large welts about 24 hours after I injected the 75 doses and 10. My doctor fears I am developing an allergic reaction, so I am going back to the rival insulin alternative. (I had more side effects with the Ozempic: exhaustion, extreme nausea, and constipation, but hopefully, over time, they go away this time.) Too bad, because I really wanted to stay on Mounjaro. It should be noted that I really like Mounjaro very much. Well-controlled sugar, once I was on my maintenance dose of 10. For some reason, I gained five pounds while on Mounjaro, I never lost weight, where I lost about 15 pounds on the other mentioned insulin alternative. It seems that other patients on other review sites have this welt issue too. The issue should be reported not only to the doctor, but per the request of the manufacturer, please report to them as well."
- kan...
- Taken for 1 to 6 months
- December 21, 2024
For Weight Loss (Obesity/Overweight) "I am a 55-year-old female, 5’7 starting weight 250, started Zepbound 6 weeks ago. 1st month, 2.5 — moved up to 5 2nd month. Probably the most annoying, almost immediate side effects were GERD, bloating, and constipation. However, this did improve quickly when I added more fiber, avoided high-fat, saucy foods, and ate less. I do agree with the others… that it definitely helps your “hunger-food brain.” I can skip a meal without even noticing. I fill up eating a quarter to half of what I would normally eat. I begin getting nauseated while I eat, which makes me stop eating, of course. Now that I've increased from 2.5 to 5, the nausea is a little worse, but intermittent and tolerable. Hoping this will improve once my body adjusts. Overall, still very thankful for this opportunity to try Zepbound. I'm trying to find some type of a meal plan to follow, with sufficient protein and fiber, as well as other foods or supplements to prevent muscle loss, hair loss, constipation, and fatigue."
- WE...
- Taken for less than 1 month
- November 8, 2022
For Type 2 Diabetes "Went to the doctor and asked for something to help lose weight. He prescribed this medication. Day 1 and 2... nothing. Day 3 woke up with horrible heartburn and sour sulfur burps and facts and was constipated. By day 3 evening, I no longer had constipation but just the opposite... diarrhea! And not just any kind, it was like yellow water and very acidic. It hurt! Had horrible gas and belching all day Saturday, and Sunday couldn't hardly leave the bathroom to go buy Imodium. Imodium helped with that, but the gas is now trapped, and my stomach hurts badly, and I am full of gas with bad heartburn and belching. I saw a correlation between fatty foods and severe side effects of this product. But unless you're a vegan, you eat fat, and that's a major problem with this product. It is now Monday night, and I cannot seem to get my work done, I hurt so badly. I will never take this product again, and I cannot in good conscience recommend it with all the terrible side effects. Shame on Mounjaro!"
- WVN...
- Taken for 1 to 6 months
- December 27, 2022
For Type 2 Diabetes "I started on the 2.5 dose in October, my doctor felt that the weight loss would help with my joint pain and lower my A1C. From day 1, I was extremely nauseous, had no desire to eat, had sulfur burps, and had constipation. I spoke with my doctor, who encouraged me to ride it out. On week four, I was stepped up to the 5 mg dosage. The doctor called in Zofran for stomach issues. On week six, I called her and said I could no longer function. During this time, I was so fatigued and was having heart palpitations and was barely able to walk 20 feet without being totally exhausted. I chalked it up to being so nauseous and not eating. Then my legs started to burn like I had walked up a steep hill and felt so sore and bruised I could barely sit. That week, I had my follow-up appointment with my doctor. I told her about my symptoms, and she said that rhabdomyolysis is not a side effect of Mounjaro. I was never dehydrated, but my CK levels were still 440 two weeks off the medication! Eight weeks later, and no improvement!"
- DAS...
- Taken for less than 1 month
- May 29, 2025
For Obstructive Sleep Apnea/Hypopnea Syndrome "Starting 4th week of 2.5 mg. It wears off some by the end of the week. Dr. raised it to 5 mg for the next month's prescription. I am down 10 lbs in 3 weeks. Appetite is now easy to control and say no to the food/snack crazies. Very slight constipation is the only side effect I have noticed. It does work but is not affordable for me. $350 for the 1st month was the vial and syringe and out of pocket. Easy to use. Insurance declined it. $499 for the 2nd month. I can't afford it. I have researched it and found that you can buy the tirzepatide peptides online for considerably less money. I may regret it, but I am going to try it. I have seen very high numbers of happy people who went this route."
- Duc...
- Taken for 1 to 6 months
- October 16, 2022
For Type 2 Diabetes "I was using Ozempic, but Dr. switched to Mounjaro. It has been terrible! I lost a lot of weight on Ozempic but gained some back since being on Mounjaro. Also, my blood sugar rose 10-15 points since switching! I have had numerous side effects, mainly headaches and constipation. When giving it, it always seems to leak back out of my skin, and I've tried stomach, arms, thighs- all the same! I am not happy."
- MJs...
- Taken for 1 to 6 months
- February 17, 2023
For Type 2 Diabetes "3.5 months from 2.5 mg to 5.0 mg. Even before starting 7.5 mg, my experience has been positive. Less stressful, as if my cortisol levels are low. No desire to drink alcoholic beverages. Appetite suppressed, loss of inches before any noticeable weight loss. Slow loss of excess weight. PCOS symptoms have mostly disappeared, however, when refills were not available, all symptoms almost immediately presented again, including desire to snack. Constipation is noticeable at 5.0 mg. Starting 7.5 mg now. 22 lb of excess weight lost after 3.5 months of use."
- ECT...
- Taken for 6 months to 1 year
- April 11, 2025
For Weight Loss (Obesity/Overweight) "Effortlessly went from 250 lbs to 198 lbs in 9 months, with very minimal side effects! It took me this long to go through the gradual dosage increases. When I missed a few weeks here and there, I regained weight. I’ve been extra committed to the regularity of doses after that! My only side effects have been: some mild constipation (take mg citrate to fight that), very mild diarrhea, heartburn that increased as the dosage mg increased, although eating TUMS like candy took care of it (but expensive because I insist on having the TUMS that taste good to me), and injection site reactions (similar to a mosquito bite ≈ 3 days, managed with OTC cortisol cream and/or OTC roll-on 4% lidocaine). I used to have no off switch; was always hungry! Now, my mom (Wegovy) and I look at each other in amazement and ask, “Is this what it feels like to be normal?” She’s been up to 300 lbs, had bariatric surgery, we’ve both done keto, nothing lasted. She’s now 160!"
- Bob...
- Taken for 1 to 6 months
- April 10, 2025
For Obstructive Sleep Apnea/Hypopnea Syndrome "I was obese and had sleep apnea. After 5 months of Zepbound, I have lost 45 lbs., and my sleep apnea has subsided. Along with starting the medicine, I started an exercise program. I walk over 10K steps a day and use lighter weights with multiple sets to maintain and increase muscle mass. I also increased the amount of water I drink. I have a 40 oz. mug that I always have with me and am usually drinking 120 oz. per day. I stopped drinking alcohol 2 months into taking Zepbound. I have more energy and feel much better than I did when I was obese. The only side effect that I experienced was constipation. I combated that by taking a low dosage daily of Dulcolax. I could have never lost the weight I have without Zepbound. I intend to keep up my exercise program after stopping Zepbound, and hopefully my weight gain will be minimal."
- CPA...
- Taken for 1 to 6 months
- July 17, 2024
For Type 2 Diabetes "I started the medication in November of last year. I started with 5 mg and incrementally increased the dosage up to 15 mg. The small hypodermic needle made it easy to inject. At 10 mg, I reached a plateau with the weight loss. I eventually went up to 15 mg and stayed on that dose for 2 months. The primary reason for taking it was for type 2 diabetes, and I benefited from weight loss as I was also overweight. As of today, I have lost 35 lbs but stopped the Mounjaro about a month ago. My appetite seemed to slowly get back to normal, which is not a good thing. I also did intermittent fasting, so that helped a lot with the cravings, etc. I also get some bouts of constipation, but my diet made up for that. My urine smelled different. I pray there were no effects on my kidneys. My blood sugars are normal. My A1C is 5.2, so I chose to stop the medication and continue the weight loss journey naturally."
- Jud...
- Taken for 1 to 6 months
- January 22, 2025
For Type 2 Diabetes "I started Mounjaro 8 weeks ago. I’m 69 years old with T2D and weighing 234 lbs. I now weigh 214. I start on 7.5 this weekend. I have had light nausea and light constipation, and the lovely burps, but other than that, all is good. I eat better, no hunger 24/7, and I feel so much better. No more metformin. Yay!!!!"
- Kir...
- Taken for less than 1 month
- June 25, 2024
For Weight Loss (Obesity/Overweight) "Benefits: Completely stopped the food noise and cravings for fatty and sweet foods, decreased appetite within the first 2 days of injection. Injection not painful at all, tiny needle. Side effects: feelings of fatigue for 2 or 3 days after injection, can feel very bloated due to constipation. Feelings of a lump in the throat due to some acid reflux. Sometimes feel more emotional than normal. Increased periods, 2 periods within 1 month, very heavy and prolonged, appetite increased slightly on last 2 days before next injection due. Can feel shaky/weak if not eating enough calories due to decreased appetite. 1st month of use experience on 2.5 mg."
- L9-...
- Taken for 6 months to 1 year
- March 17, 2025
For Weight Loss (Obesity/Overweight) "I have lost 54 lbs. in 6 months. It’s been easy, my only issues have been constipation and some hair loss. I increased my dosage each month to 15 mg. I am now reducing my dosage to wean off the drug. I wish there was more information about stopping the drug. Also, I had to spend thousands of dollars because it’s so expensive. I worry about stopping the drug."
See also:
More about tirzepatide
- tirzepatide consumer information
- Check interactions
- Compare alternatives
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- Side effects
- Dosage information
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- Drug class: GLP-1 Agonists (Incretin Mimetics)
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For Weight Loss (Obesity/Overweight) "I started using Zepbound on October 31st of this year. The beginning dosage was 2.5 mg. I started to lose 1-3 lbs. a week. The dosage was increased to 5 mg, which I started on the 4th week. Current total loss of 11.5 lbs. My provider has suggested that I increase the dose to 7.5 mg for my next refill. I do have side effects: nausea, constipation, dry mouth. My appetite has diminished, but I have to make a conscientious effort to eat. Cravings for specific foods have gone as well. I have a fear of needles, but do not feel the injections or any discomfort associated with normal 'shots.' Overall, my experience has been a good one, but it is still early."